45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published
○Gross / standard charges
○Discounted cash price
●Payer-specific negotiated rates
●Min / max negotiated charges
●Free, public, no login required
Procedures listed
16,042
Insurances with rates
31
CPT / HCPCS codes
13,763
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 596572 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $72,149 | $72,149 | $7,350 | $43,464 | 14 |
| 596578 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $72,149 | $72,149 | $7,350 | $43,464 | 14 |
| 596574 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $72,149 | $72,149 | $7,350 | $43,464 | 14 |
| 159848 | Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries | $48,382 | $48,382 | $3,302 | $3,302 | 1 |
| 122606 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | $48,382 | $48,382 | $1,230 | $1,230 | 1 |
| 4283 | Injection, digoxin immune fab (ovine), per vial | $37,185 | $37,185 | — | — | 3 |
| 124142 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $30,751 | $30,751 | $7,350 | $43,464 | 15 |
| 594773 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $26,875 | $26,875 | $809 | $1,462 | 5 |
| 594772 | Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED | $25,310 | $25,310 | $5,085 | $5,085 | 2 |
| 794690 | Injection, calcitonin salmon, up to 400 units | $25,248 | $25,248 | — | — | 3 |
| 7543 | Injection, reteplase, 18.1 mg | $24,338 | $24,338 | — | — | 3 |
| 594771 | Computed tomography, abdomen and pelvis; without contrast material | $23,855 | $23,855 | $809 | $1,462 | 5 |
| 115440 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra | $23,525 | $23,525 | $402 | $2,329 | 4 |
| 124149 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $22,686 | $22,686 | $7,350 | $43,464 | 16 |
| 124153 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $22,686 | $22,686 | $7,350 | $43,464 | 16 |
| 124137 | Intra-atrial recording | $22,686 | $22,686 | $7,350 | $43,464 | 15 |
| 124140 | Intra-atrial pacing | $22,686 | $22,686 | $7,350 | $43,464 | 15 |
| 124136 | Bundle of His recording | $22,686 | $22,686 | $7,350 | $43,464 | 15 |
| 8906 | Injection, pentostatin, 10 mg | $22,377 | $22,377 | — | — | 3 |
| 792393 | Injection, triptorelin pamoate, 3.75 mg | $22,324 | $22,324 | — | — | 3 |
| 116562 | Radiologic examination, osseous survey, infant | $22,310 | $22,310 | — | — | 3 |
| 8272 | Injection, bortezomib, 0.1 mg | $21,393 | $21,393 | — | — | 3 |
| 117424 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $20,973 | $20,973 | $1,116 | $2,012 | 5 |
| 117423 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $20,298 | $20,298 | $1,116 | $2,012 | 5 |
| 117425 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $20,177 | $20,177 | $1,116 | $2,012 | 5 |
| 115447 | Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if | $19,800 | $19,800 | $809 | $1,462 | 5 |
| 117411 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $19,041 | $19,041 | $1,116 | $2,012 | 5 |
| 115715 | Venography, caval, inferior, with serialography, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115670 | Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio | $18,649 | $18,649 | — | — | 3 |
| 115697 | Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115668 | Aortography, thoracic, by serialography, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115694 | Angiography, pelvic, selective or supraselective, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115690 | Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s | $18,649 | $18,649 | — | — | 3 |
| 8877 | Injection, oxaliplatin, 0.5 mg | $18,536 | $18,536 | — | — | 3 |
| 121887 | Therapeutic apheresis; for white blood cells | $18,157 | $18,157 | $1,950 | $9,160 | 16 |
| 595786 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $18,015 | $18,015 | $809 | $1,462 | 5 |
| 115437 | Computed tomography, head or brain; without contrast material, followed by contrast material(s) and | $18,006 | $18,006 | $809 | $1,462 | 5 |
| 122587 | Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries | $17,709 | $17,709 | $1,531 | $1,531 | 1 |
| 0042T | Cerebral perfusion analysis using computed tomography with contrast administration, including post-p | $17,196 | $17,196 | $809 | $1,462 | 5 |
| 115452 | Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $16,761 | $16,761 | $809 | $1,462 | 5 |
| 115458 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and | $16,400 | $16,400 | $809 | $1,462 | 5 |
| 117402 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol | $16,208 | $16,208 | $1,116 | $2,012 | 5 |
| 117472 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $16,208 | $16,208 | $1,116 | $2,012 | 5 |
| 117429 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $16,208 | $16,208 | $1,116 | $2,012 | 5 |
| 115493 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $15,458 | $15,458 | $809 | $1,462 | 5 |
| 115451 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $15,400 | $15,400 | $809 | $1,462 | 5 |
| 115494 | Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, | $15,272 | $15,272 | $4,039 | $4,039 | 2 |
| 117471 | Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) | $15,185 | $15,185 | $828 | $2,329 | 4 |
| 595765 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $15,151 | $15,151 | — | — | 3 |
| 121927 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $15,150 | $15,150 | — | — | 3 |
Showing top 50 of 16,042 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.